MAMMOGRAPHY RIS AND PACS FOR BREAST CARE UNITS

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1 MAMMOGRAPHY RIS AND PACS FOR BREAST CARE UNITS Dedicated to women s Health

2 mammography Solution USING THE ADVANTAGE OF SPECIALIZATION You have the dream: Being an independent department within a hospital. We offer: Complete diagnostic imaging solutions with specialized tools for breast studies. Does going digital meet my requirements? How can our department be integrated in the hospital network? What about preparing case demonstrations? Our iq-product family is especially designed to assist your multi-modality workflow. The whole product line has easy-to-use interfaces created by radiologists for radiologists. The iq-product family can display CR, DR, ultrasound, MRI or tomosynthesis breast studies performantly using customizable hanging protocols. Even the management of histological slices is included. iq-products can be smoothly integrated with almost any medical information system worldwide using standards like HL7, DICOM WADO or proprietary interfaces. An unlimited number of referring physicians are able to get web based access to studies and reports of their own referrals at any time, even from a different location or from home. As this happens in an encrypted way similar to online banking, it represents a convenient and safe tool to share images and reports reducing shipping costs at the same time. With just a few mouse clicks you can prepare your multidisciplinary team conferences within your normal reporting routine. This can easily be done by forwarding presentation states (personal image manipulations and annotations) with your images directly to the conference room. 2

3 A typical mammography workflow HOSPITAL WADO iq-ris iq-view Referring and Requesting Physicians, e.g. surgeons or gynecologists Pathology Multi Disciplinary Team Conferences iq-ris 2 BREAST CARE UNIT 4 iq-ris iq-view PRO/3D IMAGE DISPLAYS 6 7 Front Desk Archive Reading Physician Validating Physician 11 iq-robot 9 iq-ris 3 11 Patient at Front Desk Modalities OFF-SITE Patient at Home Teleradiology 3

4 An integrated digital imaging workflow 1 Referral Hospital or screening center staff enter radiology referral into hospital or screening information system; radiology department receives the information digitally in iq-ris and schedules appointment 2 Woman arrives at breast care unit a. Patient and study information is updated in iq-ris b. External image data is read-in using the DICOMReader c. iq-worklist sends scheduling data to modality d. If previous studies are available on film only, films can be scanned (using iq-view PRO and Vidar scanner) and sent to PACS 3 Imaging study a. iq-ris displays information about previous exams and opens previous studies, e.g. in iq- WEBX b. Image data is acquired, e.g. mammography or ultrasound scan 5 In case of biopsy, histological images from the pathology department can be sent and stored consistently in 6 Image data transmission to reading physicians/radiologists a. forwards images rule-based to reading stations, e.g. iq-view PRO MAMMO b. Radiologist reads the studies using customized and vendorindependent hanging protocol sequences c. IMAGE DISPLAYS offer superior quality for reading d. iq-view PRO sends annotations and measurements back to archive for documentation e. iq-3d provides reading station-integrated tools for postprocessing volumetric data, e.g. for thin slice CT or volumetric MRI scans f. Report is dictated into iq-ris g. Key images are stored in PACS as presentation states 7 Report validation Physician validates report in iq- RIS 8 Access for referring or requesting gynecologist Access to images and reports may be integrated into the HIS using and WADO 9 Patient receives study data at front desk iq-robot burns images and reports onto CD 10 Multi Disciplinary Team Conferences Easy case discussions using iq- RIS and iq-view PRO with prepared views (presentation states) of existing cases 11 Patient data access from home Patient may get secured access to personal study data via the Internet with 12 Images can be sent to other physicians (e.g. teleradiology) provides web-based access to images and reports 4 Image data storage consistently stores image and patient data 4

5 Main advantages of going digital INTEGRATE Your hospital has an existing hospital information system (HIS)? Our specialists can efficiently integrate both, iq-system PACS and iq-ris with most HIS or EMR available on the market, even if the HIS is not HL7 compliant. The interface needed can easily be created between the HIS, all your modalities and all users in your department. A full HIS-RIS-PACS integration offers data consistency, prevents typing mistakes and optimizes your information workflow. SCHEDULE iq-ris can receive requests for imaging studies from the HIS. Using this program, you can smoothly manage your appointments and keep your patient records permanently up-to-date. iq-worklist, our DICOM worklist broker, transmits all relevant patient data to any imaging device ensuring data consistency and accelerating the imaging workflow. ACQUIRE Digital imaging does not need chemistry, dark-rooms, waste disposals and ventilation systems. Hence, you can finally get rid of toxic developing procedures. Acquiring the images digitally is significantly faster than the old-fashioned procedure, enabling you to make the most of your modalities and to maximize your patient flow. READ IMAGE DISPLAYS are high-resolution diagnostic monitors, displaying the whole range of gray shades in 12bit as acquired on most modalities. iq-view PRO includes a handy and customizable Hanging Protocol tool for automatically displaying imaging studies in an optimized view. Using those sequences, you can switch between different views to display the same study (hanging protocol sequences). iq-system PACS can manage virtually all modalities in just one system, e.g. all radiology devices and endoscopic, other clinical images, and even microscopic images. POSTPROCESS A configurable toolbar in the viewer allows the easy selection of commonly used tools (e.g. zooming, measuring) needed for processing images. Workstation integrated postprocessing, e.g. for 3D reconstructions presents more independence and flexibility to reading physicians. 5

6 Main advantages of going digital ACCESS By using DICOMReader PRO, it is easily possible to read-in digital image data from virtually any external imaging center into iq-system PACS (or even any other vendor) and to match it with internal patient folders. PREPARE As one of the few reading stations worldwide, our iq-view offers presentation states. A presentation state is the DICOM compliant way to save image annotations or other processing views as a layer on the original image data. This way, your specific reading views may become available in the PACS, for example as a preparation for case discussions. COPY iq-robot is a simple and affordable solution to automatically create CDs/ DVDs containing medical studies and reports from the local network. Another option is to print directly from a modality on regular paper in high quality using iq-print. SHARE provides access to all medical data (e.g. images and reports) to an unlimited number of referring or requesting physicians from any computer within your hospital and even from outside via secured web if desired. Additionally, those imaging studies can be sent to referring physicians via . By implementing teleradiology systems (e.g. with ), you may read images from other breast care centers located anywhere in the world and you may even receive studies on your notebook. This saves time and resources that are normally needed for transporting images to other specialists or colleagues. Furthermore, up-to-date healthcare for remote regions is ensured and sub-specializations can be outsourced. 6

7 Summary To the point Radiology yesterday Conventional radiographies Radiology today Digital files Light boxes in dark rooms Average image quality High-quality displays (12bit) under almost daylight conditions e.g. IMAGE DISPLAYS High-quality digital images High space requirements for storing images Minor space requirements for workstations and servers Fixed image on film Manual post-processing with ruler and protractor Use of toxic chemicals Flexible image postprocessing e.g. iq-view, iq-view 3D Automatic post-processing with specialized add-on modules e.g. iq-nuc, Orthoview, iq-view 3D, iq-stitch Environmentally friendly Slow image transfer to colleagues Missing paper files or documents Typing mistakes on different modalities Patients received no copies Limited access to images Fast electronic image transfer, faster report turnaround time Electronic medical record, scheduling and billing process always online e.g. iq-ris Consistent imaging data e.g. iq-worklist Patients can receive a CD or USB stick with their images and reports, e.g. iq-robot Any image, anytime, anywhere e.g. 7

8 Our company at a glance IMAGE Information Systems is an international company group with offices in the USA, Germany and the UK, which offers complete, user friendly and cost-effective medical imaging solutions. Thousands of satisfied clients all over the world benefit from our state-ofthe-art products for PACS, RIS, nuclear medicine, medical displays, X-ray solutions, 3D processing and teleradiology. We have pioneered several innovations in the market: We have introduced MED-TAB, the first DICOM-calibrated medical tablet worldwide to provide superior portable image analysis Our iq-router supports virtually all DICOM image formats and transfer syntaxes in data transmission DICOMReader has the highest available read-in rate of patient CD-ROMs, ensuring compatibility with almost all available imaging modalities and vendors IMAGE Information Systems provides the second largest digital imaging user forum on earth, enabling users to share knowledge and best practice. To learn more about us and our products, please visit our website. Picture proof: Pictures by IMAGE Information Systems Ltd. Medical Imaging with iq! Solutions - Mammography PUB INT EN 003R Our SOLUTIONS For YOUR IMAGING NEEDS Radiologists Hospitals Veterinarians Orthopedics Mammography RIS/PACS Integration PACS Continuity Planning Teleradiology RIS and PACS for radiologists RIS and PACS for hospitals Tailored veterinary RIS and PACS Orthopedic PACS and workflow tools RIS and PACS for breast care units Integrate iq-system PACS with any existing Medical Information System Ensure permanent access to your PACS Available technologies in remote diagnostics image Information systems Ltd. 3rd floor 207 Regent Street London W1B 3HH United Kingdom Tel. UK: Tel. GER: Tel. US: Fax GER: info@image-systems.biz